Feasibility Study of Single-session Solution Focused Consultation to Enhance Treatment Engagement

Condition(s) studied

Investigational drug(s) / intervention(s)

Single-session solution focused consultation: In the SSC, the interventionist first sets expectations, explaining that the session is a means of providing short-term support. The interventionist will then praise the participant for agreeing to receive support and introduce the Action Plan, which will guide the session's structure. The interventionist will then work with the participant to (1) identify a specific, modifiable issue they are facing; (2) use the "miracle question" to envision their ideal outcome where the problem is resolved, and rates their current proximity to that; (3) determine the "smallest possible step" they can take towards this outcome through a scaling exercise; and (4) develop a personalized action plan that leverage on their current resources to begin addressing the problem. Upon ending the SSC, the interventionist writes a personalized note to the participant, highlighting their strengths and expressing confidence in their ability to follow through.

Single-session supportive intervention: In the supportive consultation session, the interventionist will allow the participant to decide what they wish to discuss during the session and listen empathetically, validate their feelings and offer reassurance to the patient. The exact wording or questions will vary depending on the client's needs and sharing.

Study summary

This research aims to explore whether a single-session solution-focused consultation (SSC) can increase mental health service engagement among patients with comorbid chronic physical diseases and mental health problems (CPDMHP).

Eligibility

Primary outcome measure(s)

• Treatment Engagement - Uptake — Post-intervention (immediate)
  Endorsement of interest in referral for mental health services or follow-up session with interventionist
• Treatment engagement - Attendance — 2-weeks post-intervention
  Attendance at intake session for mental health services or follow-up session with interventionist
• Feasibility - Intervention Completion Rate — Post-intervention (immediate)
  Completion of intervention action plans
• Acceptability - Usefulness of intervention — Post-intervention (immediate)
  Single item measure on helpfulness of consultation in addressing concern/s
• Acceptability - Satisfaction with outcome — Post-intervention (immediate)
  Single item measure on how satisfied they are with the intervention's outcome

Trial sites (1)

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